City of Bedford
Development Department
Building Inspections
1805 L Don Dodson Dr.
Bedford, TX 76021
Phone: 817-952-2140
Fax: 817-952-2211
building.permits@bedfordtx.gov
Date:
MECHANICAL / ELECTRICAL / PLUMBING
BUILDING PERMIT APPLICATION
Permit #:
Job Address:
Suite #
Applicant/Contractor:
Address:
City:
Zip:
State:
Phone/Cell #:
Drivers License #
Mechanical Electrical Plumbing
Other
Commercial
Residential
Total Value of Work:
Description of Work Required:
SCOPE OF WORK
Qty
Mechanical
Qty
Electrical
Qty
Plumbing / Irrigation
New Building Systems
New Building Systems
New Building Systems
Remodel Building Systems
Remodel Building Systems
Remodel Building Systems
Lease Space Finish-Out Systems
Lease Space Finish-Out Systems
HVAC Heat & Air System (*R)
Branch Circuits
Fixtures
HVAC Heat Unit Only (*R)
Fixtures
Traps
HVAC Condensing Unit Only (*R)
Outlets
Water Heater (*R)
HVAC Air Handler Only
Underground
Tub/Shower
Ductwork
Light Pole/Light Standard/Pier
Shower Pan
Misc. Equipment Replacement
Services Replace/Upgrade
Swimming Pool/Spa
Boilers
Services Meter Base
Gas Piping Installation or Repair
Exhaust Fan (Including Toilet Fans)
Swimming Pool/Spa
Gas Line Test
Other
Smoke Detectors
Drainage/Vent System
T-Pole
Grease Trap/Interceptor
Misc. Equipment Replacement
Alteration/Repair Water Piping
Sign Power
Water Service Line Install or Repair
Temporary Power
Sewer Line Installation or Repair
Other
Backflow Device
Other
Note: (*R) indicates a flat fee for residential.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions
of this code or of any other ordinance of the City of Bedford. I have read the completed application and know the same is true and
correct and hereby agree that if a permit is issued all provisions of the City Ordinances and State Laws will be complied with whether
herein specified or not. I agree to comply with all property restrictions. I am the owner of the property or the duly authorized agent.
Permission is hereby granted to enter the premises and make all inspections.
Print Name:
Signature:
Contact Phone:
Email:
FOR OFFICE USE ONLY
Building Permit Fee: $
Approved by:
Date:
Notified contractor / Permit ready:
click to sign
signature
click to edit
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